KELLEY MARIE INGRAM DO
NPI 1619728748
Student in an Organized Health Care Education/Training Program in Spokane, WA
About Kelley Marie Ingram Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY MARIE INGRAM DO (NPI 1619728748) is an individual student in an organized health care education/training program in Spokane, Washington and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Searcy.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelley Marie Ingram Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelley Ingram's NPI number?
The NPI number for Kelley Ingram is 1619728748. It was assigned to this individual provider in the NPPES registry on March 28, 2024.
Where is Kelley Ingram located?
Kelley Ingram practices at 101 W 8th Ave, Spokane, WA 99204. The listed phone number is (509) 474-3131.
What is Kelley Ingram's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kelley Ingram enrolled in Medicare?
Yes. Kelley Ingram is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelley Ingram was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelley Marie Ingram, DO · NPI 1619728748
Student in an Organized Health Care Education/Training Program provider in Spokane, Washington. Individual provider, active in the CMS NPPES registry since March 28, 2024.
## Identity
- **NPI:** 1619728748 (Entity type: Individual)
- **Enumerated:** March 28, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 W 8TH AVE, Spokane, WA 99204-2307
- **Phone:** (509) 474-3131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 28, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1619728748) · Data from the CMS NPPES public registry.